Organization
JENNY O. HAWKINS DDS PC
Active
Other names
Pax Dental
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL HAWKINS (CEO)
(240) 925-7829
Entity
Organization
Contact information
Practice address
22749 MAPLE RD, LEXINGTON PARK, MD 20653-6305
(301) 863-8822
Mailing address
22749 MAPLE RD, LEXINGTON PARK, MD 20653-6305
(301) 862-8822
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1013164466
—
MD
05
—
1013536051
—
MD
05
—
1508004318
—
MD
05
—
1740289685
—
MD
Enumeration date
01/31/2023
Last updated
01/31/2023
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